DB boots and bar
Rod Lawlor
Description
Collection
Title:
DB boots and bar
Creator:
Rod Lawlor
Date:
4/21/2005
Text:
Our referring orthopaedic surgeons have recently adopted the Ponsetti
method of treatment for CTEV, and are prescribing DB boots and bar set at
70 degrees ER for the affected side and 50 degrees ER on the unaffected side.
We are commonly asked to fit these on children aged about 8 weeks after
they have been in plaster for 6-8 weeks. We are using the Markell 1644
straight lasted boots.
Our problem is that these are quite wide, especially at the heel, and kids
are tending to pull their heels up. This leads to them either pulling
their foot right out, or else causes pressure on the posterior calcaneous.
We have attempted to counter this by gluing in an EVA crescent to hold the
calcaneous and punching a hole in the heel counter to allow parents to
ensure that the foot is correctly placed. This has had limited success.
Do other centres have any suggestions on how we might hold the foot more
effectively? Is there a better style of boot available, or a better way to
modify the Markells?
Thanks for your feedback. All replies will be posted unless requested
otherwise.
Regards, Rod
<Email Address Redacted>
Rod Lawlor
Senior Prosthetist/Orthotist
Royal Children's Hospital
Melbourne, Australia
Ph +61 3 93455870
Fax +61 3 93455106
method of treatment for CTEV, and are prescribing DB boots and bar set at
70 degrees ER for the affected side and 50 degrees ER on the unaffected side.
We are commonly asked to fit these on children aged about 8 weeks after
they have been in plaster for 6-8 weeks. We are using the Markell 1644
straight lasted boots.
Our problem is that these are quite wide, especially at the heel, and kids
are tending to pull their heels up. This leads to them either pulling
their foot right out, or else causes pressure on the posterior calcaneous.
We have attempted to counter this by gluing in an EVA crescent to hold the
calcaneous and punching a hole in the heel counter to allow parents to
ensure that the foot is correctly placed. This has had limited success.
Do other centres have any suggestions on how we might hold the foot more
effectively? Is there a better style of boot available, or a better way to
modify the Markells?
Thanks for your feedback. All replies will be posted unless requested
otherwise.
Regards, Rod
<Email Address Redacted>
Rod Lawlor
Senior Prosthetist/Orthotist
Royal Children's Hospital
Melbourne, Australia
Ph +61 3 93455870
Fax +61 3 93455106
Citation
Rod Lawlor, “DB boots and bar,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/224665.
